Individual
MR. KYLE F ROTONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1951 OAK ST, NILES, MI 49120-3738
(269) 262-4749
(269) 262-4739
Mailing address
105 MOCCASIN ST, BUCHANAN, MI 49107-1218
(312) 813-6643
(312) 813-6643
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
4704401501
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704401501
MI
Other
Enumeration date
05/03/2025
Last updated
09/04/2025
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